社区老年共病患者治疗负担、生存质量现状及关系研究  

Study on the status and relationship between treatment burden and quality of life of elderly with multimorbidity in community

作　　者：杨静[1] 杨丽娜[2] 郭皓月 刘念 武霜 YANG Jing;YANG Li-na;GUO Hao-yue;LIU Nian;WU Shuang(Ningxia Medical University,Yinchuan,Ningxia 750004,China;不详)

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏银川市第一人民医院,宁夏银川750003

出　　处：《现代预防医学》2023年第11期2019-2024,共6页Modern Preventive Medicine

基　　金：基于延续护理服务平台的智慧护理在老年慢病管理中的价值研究(2022SF15)。

摘　　要：目的了解社区老年共病患者治疗负担和生存质量现状,分析其相关性。方法采用整群随机抽样法抽取宁夏银川市三个社区中老年共病患者为研究对象,使用一般人口学问卷、共病治疗负担问卷和世界卫生组织健康相关生存质量简表收集资料。结果500例患者治疗负担和生存质量得分分别为20.83(14.58,37.50)和(52.48±7.84)分;有序logistic回归分析显示年龄≥80岁(OR=5.812,95%CI:2.986~11.302)、体育锻炼<3 h/周(OR=2.293,95%CI:1.476~3.568)、小学及以下文化程度(OR=5.328,95%CI:2.753~10.392)具有统计学差异;相比与配偶居住的老年人,与子女居住(OR=2.686,95%CI:1.236~5.833)和与及其它人居住(OR=2.539,95%CI:1.565~4.118)具有统计学差异;治疗负担与生存质量相关系数r=-0.702(P<0.001)。结论老年共病患者治疗负担处于中高水平,生存质量处于中低水平,治疗负担与生存质量呈负相关,减轻共病患者治疗负担有望提升其生存质量。Objective To understand the current situation of treatment burden and quality of life of elderly with multimorbidity in community,and to analyze the influencing factors of treatment burden of multimorbidity and its correlation with quality of life.Methods The elderly with multimorbidity in three communities in Yinchuan,Ningxia were selected by cluster random sampling.The data were collected by general demography questionnaire,multimorbidity treatment burden questionnaire(MTBQ),and WHO health-related quality of life table(WHOQOL-BREF).Results The scores of MTBQ and WHOQOL-BREF of 500 patients were 20.83(14.58,37.50)and(52.48±7.84),respectively.Ordinal logistic regression analysis showed that there were statistical differences in people aged 80 and above(OR=5.812,95%CI:2.986-11.302),physical exercise less than 3 hours per week(OR=2.293,95%CI:1.476-3.568),and primary school education(OR=5.328,95%CI:2.753-10.392).Compared with the elderly living with their spouses,there were statistical differences between living with children(OR=2.686,95%CI:1.236-5.833)and living with others(OR=2.539,95%CI:1.565-4.118).Pearson correlation analysis showed that the correlation coefficient between treatment burden and quality of life was-0.702(P<0.001).Conclusion The treatment burden of elderly with multimorbidity is generally at a medium-to-high level,and the quality of life is at a medium-to-low level.There is a negative correlation between treatment burden and quality of life.Reducing the treatment burden of elderly with multimorbidity is expected to improve their quality of life.

关 键 词：老年人 共病 治疗负担 影响因素 生存质量 

分 类 号：R473.5[医药卫生—护理学]